Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms
$21.99
Per pack
Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms
Item #:
901-2408453
Model #:
50135RV
Brand:
TOPS
(12 reviews)
Item #:
901-2408453
Loading...
Customers also viewed
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
Item #: 901-CMS12650657
Standard Claim Right Window Envelopes, 4.5 x 9.5, Self-Seal, 500/Box
Item #: 901-1500ESMAP
Chiropractic Registration and History Form without Updates, Sky Blue
Item #: 901-20572
Medical Arts Press® Dental Registration and History Form
Item #: 901-20605
Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.
CMS-1500 claim forms expedite Medicare, Medicaid, or private insurance benefits. NUCC, CMS, and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
- Top sensor bar for microfiche duplication, as required in some states
- OCR red ink for scanning
- Made in the USA
Specifications
Brand
TOPS
Form Size
8 1/2" x 11"
Length in Inches
11
Medical Form Pack Size
250
Number of Parts
1
Pack Qty
1
Series or Collection
Centers for Medicare and Medicaid Services
True Color
Red and White
Width in Inches
8.5